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Individual

MARK A. EASTERDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
477 COOPER RD STE 300, WESTERVILLE, OH 43081-8057
(740) 803-0599
Mailing address
477 COOPER RD STE 300, WESTERVILLE, OH 43081-8057
(380) 898-8808
(380) 898-8842

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-071525
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2498104
OH
Enumeration date
01/05/2006
Last updated
04/11/2022
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